Search › California › 363L00000X
Vic Managuelod, NP
NPI 1619335544 · on the registry since 2016 · sole proprietor
Practice
- Address
- 630 E Cypress Ave
Apt A
Burbank, CA 91501 - Phone
- (818) 813-4208
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2100X
363LA2200X
363LF0000X
363LP0200X
363LP2300X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California